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3999 Riverton AveCity of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 1 473 C •T) Use BLUE or BLACK Ink For Office roo Permit #: Permit Fee: 5S' 2011 MECHANICALtPERMIT APPLICATION l Site Address: 3'i 9 1p'RI n A tie Tenant: Suite #: RESIDENT / OWNER Name: l G r f Phone: 4�� _ ZCl s-- 34(3 (� Address / City / Zip: .3 qct I at ,it "'r` A -v -t 5-7-3-, 1, CONTRACTOR` Name: Ai r i GS -Ft COtt i (g License #: I5 v' i t) Address: i 2. is 5) t ern i fh AV t, W I Q P) Lxre,. State: M Irl Zip:55�PY Phone: Contact: Ci V I C M Lk Email: TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: GGpIGI " / s' -F Sees NIG 4 Cd, .0 NOTE: Roof mounted and ground mounted rr chanical equipment is requir d, to k erred by pity Code. Please contact the Mechanical Ins pe+ torfor information on permi +d;screening mem: PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction _ Interior Improvement Air Conditioner i Install Piping Processed _ Air Exchanger _ _ Gas Exterior HVAC Unit _ Heat Pump _ _ Under / Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State out appliances, ductwork, etc.) (includes $5.00 Surcharge) State Surcharge) = $ TOTAL FEE $95.00 Fire repair (replace burned COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee - If the Permit Egg is Tess than = $ Surcharge - If the Permit Fee is > $10,010, Fee = $ TOTAL FEE (Le. a $10,010-$11,010 Permit CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Alanm (LI; {1 Applicant's Printed Name FOR OFFICE USE Required Inspections: Reviewed By: Underground Rough In Air Test Gas Service Test !. Infloor He Ap licant's Signature VAC CITY OF EAGAN Remarks Addition Cedar Grove #8 Lat ~ Rik 10 Parcel 10 16707 010 1 oo. Owner~A Nvl'i,, Street 3999 Riverton Ave, state Eagan,MN 55122 ~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. DD 1.71 1975 687.38 68.73 10 Faid GRADING DD Z 1975 888.23 10 Paid SAN SEW TRUNK Z 1970 12 # SEWER LATERAL Z Z WATERMAIN # WATER LATERAL 1974 WATER AREA J* STORM SEW TRK STORM SEW LAT 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 262. 1 11-16-73 SUILDING PER. sac 260 00 9471 11-1 -73 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `3 A~ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 D -7 SITE ADDRESS: APPLICANT: 101 IVFRTIIN AVf PERMIT SUBTYPE: TYPE OF WORK: i-r, i F INSPECTION D. . l~~tf:,fl 1 f•~ •i I+, r - I I 0l/lt I ~ J Y ~ - Permit No. Permit Holder Date Tetephone M ELECTRIC 00-p PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING Y(o N/~~ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATiNG GA5 SVC TEST 1 iNSUL GYP 80ARD FIREPLACE FIREPLACE AIR TEST FlNAL PLBG FIN/1L HTG ORSAT TEST BLDG FINAL ~}7~ 1 ~ e ' ~ "7 BSMT R.I. ~r ( - 1 ~ 2~ tf~' BSMT FINAL i . DEGK FfG i -CK FINAE. r' , ?.GPr C2~~x N'~-F''~~NG -FfvMt~OwrhtlC, I~2.•~{/~~ t'!'Yl 'Tb cr°Nu. Fioe- PK-tft. 04PLY - - . t . - - - I - cirr oF EAGAN 3795 Pllat Kno6 Rood Eagan, MN 55122 N2 5 818 J PHONE: 454-8100 BUILDING PERMIT Receipt # To bo wad fer Est. Value Date , 19 Site Addreu Erect ? Occupancy Lot Block ~ Sec Sub. 'Alter 0 Zoning Poncel # ~c) 162 ZO Zmro lo Repair ~ Fire Zone Eniarge p Type of Const. W Name Move ? # Stories 3 Address Demolish ? Front ft. 0 Grade ? Depth ft. Ct Phone ~ Approvals Fees Name Address Assessment Permit ~ Ci Phone Water & Sew. Surcharge ~ Police Plan check FW Na^'e Fire SAC Address Eng. Water Conn. <W Ci Phone Plonner Water Meter Countil Road Unit I hereby acknowledge thot I hove rend this application and state that Bldg. Off. the infomwtion is correct ond agree to comply with all opplicoble APC Total State of Minnesoto Statutes ond City of Eogan Ordinances. Signoture of Pertnittee A Building Permit is issued to: on the express condition thct all work sholl be done in accordarrce with all opplicable Stnte of Minnesota Statutes and Ciry of Eagan Ordinances. 8uilding Officlal ?amif # Dah 1 P~NfM Plumbing / 70 ~ - Mechanical i INSPECTIONS DATE INSP. Rough-In Final Footings Do e Insp. Oata Insp. Foundation Plumbing Frome/ins. Mechanicol Final ~ i Remnrks: YILLAUE OF EAIiAN SbwCK ~~R~ ~;$~i8'1415 3795 Pilot Knob Road PERMIT NO.: ppTE: Ea911, MH 55121 R-1 No. of Units: Zoning: ~ owner: Cedaz' Grove Construction o• paaress: Ave. Site Address: Plumber: te~~5 00 Pd I ngroa ro comply with eM Vilk9a o4 Ea9°^ Connection ChazBe:26~ ~ pccoun[Deposit:o 00~~~~2 Ordinoncaw ~ Permit Fee: ~ p pd Surcharge: Misc. Charges: BY: _ Total: Date of Insp.: Date Paid: lnsp.: i. ' EAGAN TOWNSHIP BUILDING PERMIT N° 3173 Ownes _ .............,.r.-_`:......_.......-----......._.............---...--....... Eagan Township Addrete (preeent) .....F}.: ....--Hx~ - Town Fiall ~ - ~ ~ Suilder . Date Address ~ DESCRIPTION ~ Siories To Be Used Foz Fron! Depih Heigh2 Esl. Cos! ermif Fee Aemarka ~q II d, S ~ I - ~ LOCATION r-z• ~ . ~ Slreef, Road or oiher Deseripiion of Loaarion _I Lo! Bloak Additioa or Trae!' ~ Thia permit does not aulhorize the use ot sireeSa, roads. alleys or sidawalks nor does if give the owner oz hia ageni the sigh!!o ereafe any sifuaiion which is a nuisanca or which presenis a hazard fo the health, tafety, aonvenience and geaeral weltaee to anyone ia ihe eommuniip. THIS PERMIT MUST BE KEPT ONr1THE PREMISE WHILE TFIE WORK IS IN PAOGRESS. . ~ This ia !o cestify. !hal..!=:t°~ ...............................:............has permusion to ereef a...._...................................... upon !ho above da:czibed premisa subjee! !o the provisions of the Building Ordinance for Eagan Township adopled April 11, 1955. ' C ' hairma~ of 1Kwn Boerd?....--_~ Per 8 u ...:c~~ ~..c.- . . m pscfo . ~ . ldiny I EAGAN TOWNSHIP BUILDING PERMIT N° 2931 Owaem .3....:p:c:C:.._z!~"~"~"` -7.......`.~.cr.:'.:.~'..T......._.... Eagan Township Address (PresenS) .......~3-a.-......~:.... rF"......................... Town Hall Builder Date Address ~ DESCAIPTION 5lories To Be Used For Froni Depih Fleigh! Eei. Cos! Permit Fee Aemasks l ~d 1-1 ~ ~ C" 9~~ G LOCATION Street, Road or ofher Deseripiion of Location I Lo! Bloek Additioa or Tzaet 4) ,S'i ia, i 14_, /S^j Z>i This permit does aot aulhorize the use of slzeels, zoads, alleps or eidewalks nor doea it glve the ownar or Lb agont the right lo c:eaie anp siluation which is a nuisence or which presenls e hezard !o the healih, safeip, eonventeaee and geaeral melfare !o anyone in the eommuniYy. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. ~ This is !o ceztify, tha!_...... C4,4r_..--c. .`ci'`.:.. ..G?C".-~as permissioa !o erect a__...1.6.... _upoa the ahove described pramiee subject fo the provisiou o! the Suilding Ordinaaee fox Eagan To ship ado !ed April 11. 1955. ~ ~ ~ 2~~~::::":.'.'.'-.~..'_' Per ........_....._..~.._.....f.`._...'--.• ' Ch o vr,~-.....~ Suildiny Impeclor ~ ~ ~V ` 2 5 5~ L L O ~ S~/~Ol1LY This reqvesl void 18 months imm volidafion dak pnnted iniis/ x ~ , . ~P S~ov fl0 PLEASE PRINT OR TYPE ~I /T Rapuest Dak Rough-In inspeclion required2 X Ym ? No Impection ONxr Than Rovgh-In: ReadY Now p Will Call s'~. 'q~, (Y'au mun call the inapecbr when readY) Dok Reody: I, JA licensed conhadar ? owner hereby requezt inspecfion of ihe obove elecfrical work at: lob Addrms (Sheet, Bar, or Rauk No.) Ciry Zip Code 3qqq ~ Y A-ve & 4N Selion No. Township Name or No. Range Na. Fim No. Counry ~~/~O ~4 O«vPanl Phon<No. 1~ c.~rL ~3.Z- 3 PowerSuppl'br Pddress ElacMCOI Comracro, (Campany Noma) Conintlor Liwnse No. Mvshr Lic No. (Plam Elen. Only) CoR.Rl /W ELECTRIC. Mailing Pddress (Conhatlor or Owna PeAa`mirg Insfallation) ilo•. Aulli riz SlgeaNro(CoMmcbr rOwnerP rmiiglnxpllonon) PMneNo. ,;~3-ll' l EB-OOOOlAiO 6/95 8TATEBOANUCOPY S INSTf1UCTION30NBACKOFYELLOWCOPY I IIII ~ III IPIII II II I~I II II I I I I II I II II~I eEtQUrove siry Ave., Rm SRIB ASt. 'Paul P, MNT65O0~~~' 0 2 S 5 2 1 0 7* ano~.{sa~ 642-0e00 ~ !n Home Duplex Apt. Bldg. Ofher: New Addn 1Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmf. Ofher. D er Ran e Elec. Heat Tem . Service above the work covered by this request Enter remarks in this space and on the back of the white <opy only. F i ve Y'q4kv" 1 5 n" ok e 6 -4 ee,6YS Calculate Inspeciion Fee - This Inspecfion Request will nof be accepted w'rthoW the cortecf fee: OTher Fee aF Service EnhaMe Srze Fee ;F Circuis/Feeders Fee Mobile Home Park Stall 0 to 200 Amps S 0 to 100 Amps $freet Lfg./Traffic $ig. Above 200 Amps 0 Amps Transformer/Generaror INSPECTOq'SUSEONLY TOTAL Sign/Outline Ltg. Xfmr. Alartn/Remote Con}rol Swihiming Pool • 1 here am 1hm I ins ihe eleclnwl 1 on deacnbad heroin on fhe dabs atafed Irngation Booectm ~„9n.i„ pok $pecial Inspion F' - DI Invesfigative Fee THIS INSTALI.ATION MAY BE ORD DISCONNEC NO-W COMPLETED WITHIN 18 MONTHS. CITY OF EAGAN 3795 PiIM Kno6 Road Eagon, MN 53134 W 5 818 PHONE: 454.8100 BUILDING PERMIT APPLICATION ReceiPt To be u.ed fo. Interior Remod. Et. vaiue 2,500.00 D,te Mav 15, , 1 9_8Q- sice ndareu 3999LR=vertnn Ave e,ece ? o«uaancr R3 Lor ~ BI«k ld Sec/Sub. Cedar Grove 8 Airer 6 Zoning Rl Parcel # Repair ? Ffre Zone III Enlcrge ? Type of Const. V c Name Gene D. Kolkin&T1 Move p # Srories w 3 qddrett 587Il2 Demolish ? Front ft. ° Ci E819an 55122 p?wne 452-212$ Gmde ? Depth ft. o Name Johri HUrizikeri Approvala Fees AddrR _ Assessment Permit • 0 Ci a~~ au , Phone Woter&Sew. Surchorge 1-50 Police Plan check ~B w Name Fire SAC 1- Address Eng. Woter Conn. " <uZi Ci phone Plenner WaterMeter Countil Rond Unit I hereby ackrrowledge tFwt I have read this application and state thet Bidg. Off. 5/1 G/8f1 the informotion Is correct ar0 agree to comply with all opplicable $tafe of Minnewta Statute,~ a~d Cijy of Eagon dirances. APC Totol Jf Signature of Parmittee IJ A Bulidirg Pertnit is iuued to: a ZiC;_!), Q'a on the express condition that oll work sholl be dorre in accordance with all appli~cqbf~~e ,State of /MsJi~~ne~sot~a Statutes ond City of Eogan Ordinances. Building Official r{~L~ 1~ - o7- CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & ~ r~ /`P MCI 0'2~ . BUILDING ELMU APPLICATION 1 set of energy calculations. To Be Used For~ ~n; / ooin ~d7 F^08T~1-uation ~~J Q~ . C)C7 Date Site pss: ' en~ uc OFFICE USE OfILY t ro / si~x ~~o s~. s,~. c G g Erect Occupancy P- Alter.x_ Zoning R I Repair Fire Zone 3 Ovmer: Enlasge - Tppe of Const. ~i a n~ YJ rr a n - Pbve # Stories Pcldress: ue 140 v, 14 u c. Lmolish Front . ft. ft. Grade Depth City/Zip Code: Phone # : 4/s ~2 - 2 1,2 $ APPRW11L5 F'EES Contractor: ~o h N ff u- n a.~c r Assessments PernLit ~ Address: Water/Sewer Surcharge A-9- Polioe Plan Check City/Zip Code: Fire SAC Phone ~/3 9- S SD9 Eng• war.er conn. Planner Water Meter Ar~ /Eng : Council Road Unit Bldg. Off. Address• APC City/Zip Code: -b Phone # : ~ ~ 3 6' P~Sa°~0 ~Q as ~ 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION - City Of Eagan 7 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConstructionReauiremenffi RemodeVReoairReouiremenb c.~. ~ 3 registe2d site surveys showing sq. ft of lot sq. il of house; and afl roofed areas 2 copies of plan qfSu (20%mazimumlotcoveragealbwe~ lsetofEnergyCalculetionstwheatedadditiom ~Pres~'n:Recd~' `Y N 2 copies of plan shmving beam 8 windax sires; poured found design, etc. 1 sRe survey for additions & decks 7mprew~q ,,~,.Y~, •zN 1 set of Energy Cak,ulelions Adddion - indicete if ons~Te sepfic sysfem S~pBg.4~'~~ 3 copies of Tree P`eservatlon Plan K lot platted after 711193 Rim Joist Dehail Optlons selectim sheet (bldgs with 3 or less unAs Date 7_ / ~ / b~ Construction Cost Site Address EE (7, v-- r+„ Av ~AL,E UniUSte # Description of Work ,c L~cc L .2ieY" 0 . I Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ':C,h n~ S Q2 ~ Telephone #(65 Contractor Ru`1 ni 2~q l-It v pN?zl Address a 5«r X£ N uazid A, S City Rk IC state hAnJ ziP S~%/( L Telephone #(~J~ ) 902 L( vs~ s' ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential VenGlatlon Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) SubmiHed Submitted • Energy Envelope CalculaUons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor D Teiephone J JUL 0 1 2004 Sewer/WaterContractor Telephone ) Y I hereby apply for a Residenrial Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. T~ N o, awA(( Applicant' Printed Name Applicant' Signature OFFICE USE ONLY Sub Types ' O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR- SF ? 04 02-plex ? 10 08-plex IA 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ~ 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCESSystem Census Code Zoning fz--_ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. ~q Footings (deck) ev FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation AVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies 111-15- Other Total -3 ~EVI ED IoTs -:leILD0NG IKSlr6CTSl~~S:~" ^ ~ L I L ~r I N 89'40'57" E _ WOOD FENCE --97.50-- ~ FOUND 1/2" IRON ~ i I PIPE. CAPPED ~ ~ a~ LLJ 2 \ N I LLJ Y I ~ z I a i I ~ U I 3 I BITUMINOUS ~ ; i1°y LL'I DRIVEWAY ~ L ~N OO~ ~;~7.5' W VI 777~ Z ~ CH;NNEY ~ ~ o ~~4 / nj ~ W M~ ~ 'O E.XISTING EXISTING SPUT n I O DWELLIr,G x n' LEVEL DWELLING N I v) 3 28.8 39.8 ~ _29.0` _ ol M ' ~ FOUND 1/2° IRON + ~ PIPE, CAPPED i - - - - - - - - , --97.50-- S 8919'37" W ~ DEERWOOD OR/ VE ~r% j w.... . ~uI RESIDENTIAL BUILDING , Permit Application ~ 12 43 / City Of Eagan `f 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructlon Reaui2men5 RemodeVFteoair Reaui2menk Olfice Use OnN 3 registered sNe surveys showing sq, ft, of l04 sq. il of house; and all roofed areas 2 wpies of plan Cert of Survey ReW _ Y_ N (20% mazimum bt coverage allowed) 1 set of Energy Calculations tor heated additions Tree Pres Plan Recd _Y _ N 2 apies of plan showirg beam & window saes; poured found design, etc. 1 site survey for addNOns & decks Tree Prns Reqd Y N 7 set of Energy Calalations Addition -indicate r/an-site sepfic system On-site Septlc System _ Y_ N 3 wpies of Tree Preservation PWn'rf lot platted aNer 711/93 Rim Joist Defail Options selecUOn sheet (bldgs wIN 3 or less unBs Date ~ / ~ / M3 Construction Cost ~ • 0~} • ~ v SiteAddress 39 qc~ - , e I vee-t-an Avw. uo;vsce # 1?'e Description of Work aAilaa Multi-Family Bldg _ Y_Z /I N Flreplace(s) 0_ 1 _ 2 Property Owner l /Vl (Xid RQLW(. a; J")1 Telephone # ( ) Contractor Mick 1 / ~~/~7/i?~~('fl7 City 23 1/k7IY// , ~1-af7 Address q-g' 6~ ~ ' ~ State /v~ A / Zip Ij SQ Telephone # (619 ) 9q(l/ - q I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission lype) Su6mitted Submitted • Energy Envelope Calculafions Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y Zo, 25% plan review fee applies. Licensed Plumber ~ Telephone ) Mechanical Contractor NOV 0 Telephone ) .1 2003 Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the se of work w'ch e ir a reJiew and approval ofplans. ~'rr.L[eA ApplicanYs Printed Name Ap cant s Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage lp 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 'o 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applieant Valuation 000 Occupancy MC/ES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const v~ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings(deck) ~Q FinallNo C.O. Footings (addition) _ Plumbing _ Foundation HVpC _ Drain Tile pthe1 Roof 4P Ice & Water ~ Final _ Poo1 _ Ftgs Air/Gas Tests Final ~ FIaminB _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) ~ Insularion _ Retaining Wall Approved By Building Inspector Base Fee 7 3 y Surcharge 92- 1 aa =~t^~ 1 Plan Review 0 MC/ES SAC u+, ~.'iy 19 'd X/o : i~ S x Sy. o~=~o, s crys,ac c~vtjeepP4~ &41+ 6'6 X~~ = bs X 3~~° =,9Sn Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total PERMIT CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 027401 (612) 681-4675 Date Issued: 0 5/ 0 6/ 9 6 SITE ADDRESS: 3999 RIVERTON AVE LO7: 1 BLOCK: 10 CEDAR GROVE 87H • P.I.N.: 10-16707-010-10 DESCRIPTION: ' (FIRE DAMAGE) . uildj~,Permit T y p e 5F (MI5C. } Type REPAIR 434 ALT. RESZOENTIAL . i s' ` ° r r ` ~4 ~ ~"°~~*`°~i,c s REMARKS: FEE SUMMARY: VRLUATION $20,000 Base Fee $287.25 Plan Review $143.69 Surcharge $16.09 7ota1 Fee $440.88 CONTRACTOR: - Applicant - sT. I.IC.OWNER: ' RQNE1. RESTORATIONS 14323444 0002158 ANSARI IMAD P 0 BOX 240744 3999 RIVERTON AVE ApPLE VALLEY MN 55124 EAGAN MN 55122 (612) 432-3444 (612)452-5991 I shjsreZy aakrr*4t1e49e, .t[rizt'J. lt~uof read ;thl s applicat3on- and ~tat& tFla'G ~tbe in,#or^tti4ti,esnx".Xs~id a.q,ree za comply with a11 apPlicab7.e 5tato c~'F Mn~ St~tu~.ss et1d=;e ~~~~r xif Eagafi CYwdit3a,nces.= , , f = - ~ruln R~/!A I APPLIGANTIPEAMITEE SIGNATUFE )5~_ S D B SIG ATIJR CITY OF EAGAN 4 f4 1q401 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-46T5 Now Construclion Reouirements RemodeVReoair Reauirements ? 3 regislered eite eurveys ? 2 copies of plan ? 2 copies of plana (include beam 6 wlMow aizes; poured fnd. design; ete.) ? 2 site surveys (exterior addRions 3 decks) ? t energy calwlations ? 1 energy ealculatiom for heated addftions ? 3 copias of trce preservetion pien H bl platted afler 7/1193 . requlred: _ Yes _ No DATE: 7-/.L16 - CONSTRUCTION COST: ~vi OGd . m~ DESCRIPTION OF WORK: STREETADDRESS: 3 i`i LE27~`" LOT BLOCK SUBDJP.I.D. PROPERTY Name: 11NS,441 Phone OWNER Street Address:~"?T~?~ QI"cOr°~ City: State: Z'ip: ONeC ge,PtZ?ZFrna,j ' ' Phone CONTRACTOR Company: Street Address: 6 fe)~ 7 //D ?~lk License 0/TF City: 1= State: Zip'~ ~ ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby ecknowledge that I have read thfs application and state that the inrv is rrect and agree to comply with all appiicable State of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECOVED Certificates of Survey Received _ Yes No Ap{~ rY 3~~g~ Tree Preservation Plan Received _ Yes _ No - • ~ OFFICE USE ONLY • BUILDING PERMIT T.YPE 0 01 Foundation ? 06 Duplex o 11 Apt.lLodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool o 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous ,0-/-05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ? 31 New o 33 Alterations o 36 Move 0 32 Addition ~'-34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~/3 y Depth Footprint sq. ft. SAC Code ' Census Bldg •°.r Census Unit 4 APPROVALS . • ' . • ..tc, ..'k4.., Planning ' Building Engineering Variance Permit Fee Valuation: $ Gbo Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit ' S!W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units • ~ MASTER CARD LOCATION le OWNER STRUCTURE AND LAND USED AS r Issued To Permit No. Issued Con}ractor Owner BUILDING M!3/ _ PLUMBING 411 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSiALLING SANITARY SEWER OTHER ~ OTHER Approved Items Onitiaq Date Remarks Distance From Well FOOTING ~ _/y_ SEPTIC FOUNDATION _ CESSPOOL FRAMING ._27,~u TILEFIELD FT. FINAL ELECTRICAL - DEPTH HEATING ry_q7_°~' OF WELL GAS INSTALLATION . SEPTIC TANK . CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ~ Violations Noted on Back COMMENTS: _ . COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IH EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUIIDER DOES NOT OBSERVED. ~ INTEND TO COMPLY. a ACCEPTABLE SU&STITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY GONDITIONS BEYOND ? NON-COMPLIANCE. BUILDER WILL COMPLY CONTROL. WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CE RTI FICATI ON - I cartify [hat I have carefully inspected the abwe in which I have no iMerest present or prospective, end that I heva reparted herein all significant conditions observed to be at variance with ordinances of the Town of Eaean, approved plans and specificetions, and any specific require- mena for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR pATE COMMENTS: z~ , . EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERNIIT FOR WATER SERVICE CONNHCTION Date• 11/15/73 Number: 1349 ~ Billing Name:nPaar l;r[~v[ CnnGtn,etinn Site AddressS}g 1~~ Ocuner: Ga,,,p Billiag Addresa 3999 Riverton Ave. Pltmmber: a+.P;,, rq Location of Connection Meter Size Connection Chg.3oo.00 od Meter No, Permit Fee 10.00 pd 12/29/72 . /72 Meter ReadingL_ Meter Dep. Meter Sealed: Yea Add'1 Chg. NO Total Chg. Iaspected by Date Building is a: Remarka: Residence xx $ Multiple KO. URits iJ Fr. 2~.(~~ rFFOft Commercial IhiP ^ v ~ I„'t"I,E:~LY ii:~;`L:.~ •r.~-;-n~ .,::l i ~D Industrial By: Other Chief Inspector In consideration of the iasue aiu] deliverq to me of the a6ove permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Fagan Townahip, Dakota County, Mi.nnesota. BY: Stein's Please aotify the above office when readq for inspecCion ead conaection. RESIDENTIAL MECHAIVICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ Telephone # 651-675-5675 Please complete for. Single Faznily Dwellings & Townhomes and Condos when pecmits aze required for each unit Date1J_/1j?,_/ o Site Address Y~. ~4 °rl J~ Unit # Property Owner ;3--,V) fl n A?S J+R ~ Telephone #((qf ~ o 0 2 ~ , Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Add-on, modification ar alteration to existing dwelliug unit $ 30.00 furnace replacement air exchanger ~ air conditioner ~ New _ Replacement other D~ State Surc6arge N~l~ 1 OC% /c~ $ .50 Total $ •~°T I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with tUe ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand ttus is not a pemrit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 15~~ rN 0 ~s,4r~I i"I ApplicanYs Printed Name Ap~t's Signature COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling uni[ Date Site Street Address Unit # Tenant Name (if applicahle) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City. State Zip Telephone # ( ) Bond Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove **see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: '"Whe ' aUing/removing underground tank, call ior inspection by Fire Marshal and Plum6ing Inspector („e Pel' 'L Fees: S70b0 Underground tank installation/removal S50.50 Minimum (includes Siate Surcharge) or Contract Value x 1% _ $ Pemrit Fee • If pCiCllit fee is $1,000 or less, add $.50 $ State Surchazge lf nermit fee is over $1,000, add $.50 for every $1,000 emtit fee $ Total Fee I hereby apply for a Commercial Mechanical Pemilt and acknowledge that the inforntation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. Applicant's Printed Name ApplicanPs Signahtre Approved By: , Inspector Date: Kg1 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ / 2 ! 2-1 / Site Street Address 39 9 9 Je J+i~ ~ C D 1,4 l41/-e unit # Property Owner ~~'1 p~ G7' ~ /'7 ~r/ ? ~ Telephone # Q~7) / Contrector O l.~s / 1~ Telephone #(°l52 ) y3 2 -,5 Z Address 70 ) 3 City 1~i ~ State~^'r Zip ~Z The Applicant is: _ Owner 4 Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment ~ter Turnaround (add $121.00 if a 5/8" meter is required) / Other: 1410 - i ) Lbe, ~ T Y"C~n2G-CJ'1/Gi Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ' 0 ' ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. /Z ~4 C~-~ ,,~_s ApplicanYs Printed Name App icanYs Si ature JAN 0 2 2004 D By (p~ ~ a-~- ~S'~ p _S o 2004 RESIDEN'I'IAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit Date Site Address ~q DI Uj 2:~ 1 Vt14l~ Unit # Property Owner Telep6one #((6,5 Contractor ~ on +1' 0 ' )i e-A rn 7 i r Street Address Gey+7'jc)_ P~n f City State Zip 556b.q Te?ephone Bond Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger air conditioner New Replacement _ other 01c r-)\I _4 7 S r~ 1 11 C~A~(1 L State Surcharge r $ .50 Total JAN 2 12005 U $ I hereby apply for a Residential MecLanical Pemut and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval lans. C"n8~-1 Applicant's Plinted Name p' t's i a re 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applica6le) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond ti: Eapires: The Appticant is _ Owner _ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _ Remove *'see below _ Interior improvement _ Install Piping _Processed _Gas Nature of Work: '"`When instafling/removing underground fank, call for inspection by Fire Marshal and Plum6ing lnspector Pel'Ittit Fees: $70.50 Underground tank installarionhemoval $50.50 Minimum (includes Shte Surcharge) or ContractValue $ x 1°/a = $ PermitFee • Ifre*r.iit fPe ic g1,000 nr less, add $.50 ~ $ State Surchazge If pemvt fee is over $1,000, add $.50 for every $1,000 nermit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclnowledge that the information is complete and accurate; that the work will be in conformance wiffi the ordinances and codes oF the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pemut, and work is not to start without a permit tUat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanPs Printed Name ApplicanYs Signature Approved By: Inspector Date: Permit Number REScheck Compliance Certiricate cneckea sy/Dace 2000 IECC REScheckSoftwaze Version 3.5 Release 1 e Data filename: Untitledrek CITY: Eagan STATE: Minnesota HDD: 7981 CONSTRUCTION TYPE: Single Family DAT'E: 10/15/03 DATE OF PLANS: 10-15-2003 PROJECT DESCRIPTION: New roomaddition DESIGNER/CONTRACTOR: Mack Contracting COMPLIANCE: Passes Maximum UA = 145 Your Home UA = 115 20.7% setter Tnaa coae (un) Gross Glazing Area or Caviry Cont, or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Tmss 780 0.0 38.0 20 Wall 1: Wood Frame, 16" o.c. 240 0.0 19.0 20 Wall2: Wood Frame, 16" o.c. 416 0.0 19.0 35 Wa113: Wood Frame, 16" o.c. 120 0.0 19.0 6 Window I: Vinyi Frame:Double Pane 32 0.380 12 Window 2: Vinyl Frame:Double Pane 18 0380 7 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 780 0.0 48.0 15 Fumace 1: Forced Hot Air, 78 AFLTE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calcula 'ons subm" with the "t application. The proposed building has been designed to meet the 2000 IECC require nt ' S ch c i . ~le e l e(formerly MECchec4 and to comply with the mandatory requirements listed in e checkI p c'? ec t ~ i Builder/Designer - Date fl - ~ 3 RESchec`k Inspection Checklist 2000 IECC REScheckSoftware Version 3.5 Release le DATE: 10/15/03 Bldg. I Dept. ~ Use ~ ~ - ~ Ceilings: ~ L Ceiling 1: Flat Ceiling or Scissor Tmss, R-38.0 continuous insularion ~ Comments: I ~ Above-Grade Walls: ~ 1. Wall 1: Wood Frame, 16" o.c, R-19.0 continuous insulation ~ Comments: ~ 2. Wa112: Wood Frame, 16" o.c., R-19.0 continuous insulation ~ Comments: ~ 3. Wa113: Wood Frame, 16" o.c., R-19.0 continuous insulation ~ Comments: ~ ~ Windows: ~ 1. Window 1: Vinyl Frame:Double Pane, U-factor: 0380 ~ For windows without labeled U-factors, describe features: # Panes_ Frame Type Thermal Break? Yes No ~ Commenu: ~ 2. Window 2: Vinyl Frame:Double Pane, U-factor: 0380 ~ For windows without la6eled U-factors, describe features: ~ # Panes_ Frame Type Thermal Break? Yes No ~ Camments: ~ ~ Floors: ~ I. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, ~ R48.0 continuous insulation ~ Commems: ~ ~ Heating and Cooling Equipment: ~ L Furnace I: Forced Hot A'v, 78 AFUE or higher ~ Make and Model Number ~ ~ Air Leakage: ~ 7oinu, penetrations, and all other such openings in the building envelope that are sources of air ~ leakage must be sealed. ~ Recessed lighu must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly ~ with a 0.5" clearance from combusrible materials. If non-IC rated, the fixture must be installed with a ~ 3" clearance from insulation. ~ ~ Vapor Retarder: ~ Required on the wazm-in-winter side of all non-vented framed ceilings, walls, and floors. ~ ~ Materials Identificahon: ~ Materials and equipment must be installed in accordance with the manufacturer's installation instructions. ~ Materials and equipment must be identified so that compliance can be determined. ~ Manufacturer manuals for all installed heating and cooling equipment and service water heating ~ equipment must be provided. ~ Insula[ion R-values and glazing U-factors must be clearly mazked on the building plans or specifications. ~ ~ Duct Insulation: [ ] ~ Ducts in unconditioncd spaccs must bc insulatcd to R-5. ~ Ducts ouuide the building must be insulated to R-8.0. I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics ~(adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. ~ Fxception: Continuously welded and locking-type longi[udinal joints and seams on ducts ~ operating at less than 2 in, w.g. (500 Pa). ~ Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. ~ Cooling ducts with exterior insulation must be covered with a vapor retarder. ~ Ait filters aze required in the retum air system. I The HVAC system must provide a means for balancing air and water systems. ~ ~ Temperature Controls: I Thermostats are required for each separate HVAC system. A manual or automatic means to ~ partiatly reshict or shut off the heating and/or cooling input to each zone or floor shall be provided. I ~ Service Water Heating: I W ater heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. ~ Insulate circulating hot water pipes to the levels in Table 1. ~ I Circulatiug Hot Water Systems: I Insulate circulating hot water pipes to the levels in Table 1. ~ ~ Swimming Pools: ~ All heated swimming pools must have an on/off heater switch and require a cover unless over 20% ~ of the heating energy is from non-depletable sources. Pool pumps requ've a time clock. I ~ Heating and Cooling Piping Insulation: ~ HVAC piping conveying fluids above 105 °F ar chilled fluids below 55 °F must be insulated to the ~ levels in Table 2. Table 1: Minimum Insulation Thickness for CJrculaHng Hot Water Pipes. Insulation Thiclrness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Tempernhue ( F) Up to 1„ Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 75 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Mlnimum lusrrlation Thkkness for HVAC Plpes. Fluid Temp. Insulation ThicFmess in Inches by Pipe Sizes Piping System Types Ran e F 2" Runouu 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensa[e (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Deparhnent Use Only) i I hnrf Cnncirnrfinn~ 030812 20/27/23 MACK CONTRACTING . 5300 S, Hwy, No.101 Minnetonka, MN 55345 Phone (952) 474-7964 Fax (952) 474-8267 . SURVEY FOR, ac antract~n Ll/ L~fi SURVEYED; July 2003 DRAFTED; Jul 3, 2003 N 89'40'57" E Y WOOD FENCE --97.50-- - - - - - - - - - - - LEGAL DESCRIPTION: A ~ FOUND 1 2" IRON ` , FOUND 1/2 IRON i ~ ~ ~ Lot 1, Block 10, Cedar Grove No, 8, City of Eagan, Dakota County, Mmnesota PIPE, CAPPED ' I PiPE, CAPPED ~ I SCOPE OF WORK; 1 I i. Showin the len h and direction of bound lines of the above le al descri tion, The sco e of I g ~ ~'Y g P P ~ ~xr se~~ic~~ r~~aes not incl t ~ I ude de ermmmg what you own, which is a legal matter, Please check the o u ~~1 decuY~ ti~~~ ~ith o~.r records or consult with com etent le al counsel if necess to mak ~ "I . ~ Y P g , e z ~ ~ J ~ ~ I a+?} tlrat it is ci~r~~ect ~rd that any matters of record, such as easements, that you wish shawn on the / ~ st~r~~;;~~ have be~n s~;~~„~~;i ~ Y ~ ~ ~ z > . •~r Showin the locatic;:~ of existin im r ~ ~ ~ g g p ovements we deemed important. Z I ~ j. ~~~tir~.~ n~w mon~ar~..nts og~ verifying old monuments to mark the c~rners of the property, _ ~ u ~ I ~ ~ ~ ~ f ~ j4 ~ ~T~~t~ARD ~Yl!,~~ L ' ~ ~ _ _ 0 5 d~ CONVENTIO?VS i Denotes ll2° ID i e with lastic lu bearin State License um r 2 t ~ ~ ~ ~4'S ~ l'~"~~~ ~ p p p p g g N be 9 35, se , unless E ~ ; , ~ otherwise noted. ' ~ ~ ~ ; ` / ~r ~ BITUMINOUS , ~ r ; ° ~ ,f-~ ' ~ O i o w ~ N~ r, ~ry ~ DRIVEWAY ~ f L, ~ ~ L tD i ~ ~ . ~ ) oN N ~ I hereby certi that this lan, s ecification re ort ar surve was re ared b me or ~ "M ,,,;.G ' , A A P Y A p Y o ~ ~ w under m direct su ervision and that I am a licensed Professional En inee.r n " c~~~~~EY 'N ~ Y P g ad ~ ~ ~ ~ ; z ~ ~ < ~ ~ ~ Professional Surve or under the laws of the State of Minnesota. y 12.4 ~ o Y U ~ / N 6i o M ~ O , EXISTING ~ EXISTING SPLIT I O i ~ ~ DWELLIt•aG X N LEVEL DWEILING N ~ . am s H. Parker P.E. & P,S. l~o. 9235 ~ ~ ~ ~ ~ lc . 28.8 3s.s . ~ _ _ _ Y29.0` - i ~ I ~ _ . _ . , . _ _ _ ~ ~ ~ I , NI ~ ~ M, ~ I °+A ~ ~ , , ~ FOUND i /p2" IRGN ~ Fr / e ~ I~,~~~? ~ ~ Pi~E~ CAPPED f F";{ ~ ~ > , , - _ - ~ ~ - ~ --97.50-- ,r S 89'19'37" W ~,.._,ra.::~. . ~ i p ~ ~~W..~. ~ ' - - ~ , ~b~~~, ~ GRAPHIC SCALE zo o ,o zo ~ ( IN FEET ) Dw . No. 03081. 9 'o. 0308 12 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3999 Riverton Ave Lot: 1 Block: 10 Addition: Cedar Grove 8th PID:10- 16707 - 010 -10 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435 -2442 e - Water Heater New Water Heater Mike Skaja 2090 County Road 42 W. Bumsville, MN 55337 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Imad Ansari 3999 Riverton Ave Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA089522 06/04/2009 ePermit Line Size PERMIT City of Eagan Permit Type:Building Permit Number:EA116419 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 3999 Riverton Ave Lot:1 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Eric Lee Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Imad Ansari 3999 Riverton Ave Eagan MN 55122 Elite Restoration Pro 2202 Fremont Ave S Minneapolis MN 55405 (763) 443-4867 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119385 Date Issued:11/26/2013 Permit Category:ePermit Site Address: 3999 Riverton Ave Lot:1 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Imad Ansari 3999 Riverton Ave Eagan MN 55122 Elite Restoration Pro 2202 Fremont Ave S Minneapolis MN 55405 (763) 443-4867 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147593 Date Issued:01/19/2018 Permit Category:ePermit Site Address: 3999 Riverton Ave Lot:1 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Imad Ansari 3999 Riverton Ave Eagan MN 55122 (651) 295-3610 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165261 Date Issued:10/26/2020 Permit Category:ePermit Site Address: 3999 Riverton Ave Lot:1 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Imad & Rand Ansari 3999 Riverton Ave Saint Paul MN 55122--176 (651) 295-3610 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169670 Date Issued:06/04/2021 Permit Category:ePermit Site Address: 3999 Riverton Ave Lot:1 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Imad & Rand Ansari 3999 Riverton Ave Saint Paul MN 55122--176 (651) 295-3610 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature